Mail this RA Registration Form and a $50 deposit/camper
by July 5, 2010
to Matt Wilson @ 1301 Green River, Douglas , WY 82633
Name of Church: ________________________________________
Contact Person: _______________________________________
All boys must have completed 3 rd – 6 th grades
& 7 th graders in their 3 rd year of RA camp.
_______ Completed 3 rd grade ________ Completed 4 th grade
_______ Completed 5 th grade ________ Completed 6 th grade
_______ Completed 7 th grade… ________ *Male Sponsors
Remember: You need 1 sponsor for every 5 – 7 boys.
Total number with your group: _____________
Total amount of deposit: (Total number x *$50): $_________
*Note: Each Wyoming SB church is allowed ONE MTBA credit of $50 to help with the camp fees for one of their full-time/bi-vocational paid church staff member who is coming to camp as a sponsor . If you are taking advantage of this MTBA credit, list their name and position: